| Stephen G Grillot, DO | |
|
132 W A Ave, Kingman, KS 67068-1305 | |
| (620) 532-5800 | |
| (620) 532-3361 |
| Full Name | Stephen G Grillot |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 132 W A Ave, Kingman, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083714380 | NPI | - | NPPES |
| 100237500F | Medicaid | KS | |
| 100237500O | Medicaid | KS | |
| P00829200 | Other | KS | RAILROAD THRU ST CATS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-25303 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hillsboro Community Hospital | Hillsboro, KS | Hospital |
| Lindsborg Community Hospital | Lindsborg, KS | Hospital |
| Salem Home | Hillsboro, KS | Nursing home |
| Parkside Homes | Hillsboro, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lindsborg Community Hospital Association | 3971556580 | 13 |
| Hillsboro Hospital Llc | 4587090121 | 10 |
| Entity Name | Lindsborg Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023001021 PECOS PAC ID: 3971556580 Enrollment ID: O20050223000687 |
| Entity Name | Hillsboro Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710525985 PECOS PAC ID: 4587090121 Enrollment ID: O20200407002361 |
| Entity Name | Western Healthcare Services Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942957154 PECOS PAC ID: 2163818733 Enrollment ID: O20220407000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen G Grillot, DO 2021 N Amidon Ave Ste 13, P.o. Box 1179, Wichita, KS 67203-2100 Ph: (316) 832-0833 | Stephen G Grillot, DO 132 W A Ave, Kingman, KS 67068-1305 Ph: (620) 532-5800 |
Joseph Gerber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Cherie Louise Morris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Jeremy Lickteig, Family Medicine Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 Fax: 855-483-0002 | |
Erin M Baxa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Dr. Victoria M Moots, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 437 North Cedar St, Kingman, KS 67068 Phone: 620-532-3101 Fax: 620-532-3427 |